Practice · 03
Behavioral strategy
High-acuity residential environments — psychiatric residential treatment (PRTF) and adolescent recovery units (ARU) — fail in predictable ways: under-specified response models, staff who are trained on slogans, and hold data that nobody wants to look at. This practice line is grounded in current fieldwork, not a workshop circuit.
What we consult on
Reducing physical holds without pretending that "relationship" is a protocol. Safety procedures that a night shift can actually run. Staff response models that distinguish de-escalation from delay. Documentation that would survive a licensing visit and a lawsuit, which are not the same test.
The director's background includes teaching (psychology, sociology, human relations, speech) and clinical behavioral mitigation in residential settings. The work does not romanticize the milieu and it does not treat young people as a branding problem.
Limit
We do not offer therapy, and we do not replace a medical director. We review systems: what staff are told to do, what they actually do, and what the numbers say after the fact.
Environment before slogan
